Cervical adenocarcinoma

Case contributed by Dr Sergey Kitaev

Presentation

Postmenopausal bleeding

Patient Data

Age: 55 years
Gender: Female
MRI

Submucosal leiomyoma in the right uterine corner. No endometrial hyperplasia. There is a tumor in the uterine cervix with circular stromal invasion. The tumor demonstrates a very strong diffusion restriction (ADC = 0.666 mm2/c) and a very week contrast enhancement. The outermost ring of cervix stroma is spared. No abnormal lymph nodes were detected.

Annotated image

Submucosal leiomyoma (thick arrow) in the right uterine corner. There is a tumor in the uterine cervix (thin arrow) with circular stromal invasion.

Case Discussion

Samples of cervical curettage revealed low differentiated endometrioid adenocarcinoma. Submucosal myoma in the uterine dome also could be the reason for the uterine bleeding. Cervical adenocarcinoma is a rare abnormality that accounts only for 12.5% of all cervical cancers. It is characterized by poor contrast enhancement, as demonstrated in this case. Sparing of the outermost stromal ring indicates FIGO stage T1b.

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Case information

rID: 65011
Published: 29th Dec 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: MEDSI

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